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Peer support as part of scaling-up integrated care in patients with type 2 diabetes and arterial hypertension at the primary healthcare level : a study protocol
Tina Virtič, Matic Mihevc, Črt Zavrnik, Majda Mori-Lukančič, Tonka Poplas-Susič, Zalika Klemenc-Ketiš, 2023, izvirni znanstveni članek

Opis: Introduction: Type 2 diabetes (T2D) and arterial hypertension (AH) are among the greatest challenges facing health systems worldwide and require comprehensive patient-centred care. The key to successful management in chronic patients is self-management support, which was found to be only weakly implemented in Slovenia. The aim of the study is to develop an evidence-based model of peer support for people with T2D and AH at the primary healthcare level in Slovenia, which could represent a potential solution for upgrading integrated care for these patients. Methods: A prospective interventional, mixed-methods pilot study will begin by recruiting approximately 40 eligible people with T2D and AH through purposive sampling. The participants will receive structured training, led by a specialist nurse, to become trained peer supporters. Each will voluntarily share their knowledge and experience at monthly group meetings with up to 10 people with T2D and AH over a three-month period in the local community. Data will be collected through interviews and focus groups and questionnaires about socio-demographic and clinical data, knowledge about T2D and AH, participants’ quality of life, level of empowerment and acceptability of the intervention. Expected results: The study will provide an evidence-based model for integrating peer support into the local community. It is expected that the intervention will prove feasible and acceptable with educational, psychosocial and behavioural benefits. Conclusion: Peer support through empowerment of people with T2D and AH, family members and other informal caregivers in the local community could scale-up the integrated care continuum and contribute to sustainability of the healthcare system.
Ključne besede: diabetes type 2, arterial hypertension, peer support, self-management, integrated primary, healthcare
Objavljeno v DKUM: 17.07.2024; Ogledov: 48; Prenosov: 2
.pdf Celotno besedilo (304,20 KB)
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Confronting SARS-CoV-2 infection : patients’ experience in the first pandemic wave - cross-sectional study
Maja Sočan, Vanja Erčulj, 2022, izvirni znanstveni članek

Opis: The aim of the study was to investigate the real-life experience of persons infected with SARS-CoV-2 in Slovenia in the first pandemic wave and how the buffering effect of social and informational support affected negative feelings. We used a self-administrated questionnaire. There were 1182 eligible notified cases with the response rate 64.9%. At least 62% of responders were able to follow the isolation rules, while 21.1% did not or could not organize their living separately from other household members. The main providers during the isolation period were close family members. The most prevalent emotion in our study was worry (70.3%) and fear (37.6%). Worry and fear during the illness were less probable for men than women, but more probable for older patients. Participants with strong emotional support had lower odds of being sad. Those who were exposed to a larger number of sources of information had higher odds of being worried. Those patients who used a higher number of more credible sources of information had higher odds of being afraid during illness. Pets did not play a special role in psychological well-being. The role of the media and public health communications should be explored further to achieve an improved response.
Ključne besede: COVID-19, first pandemic wave, isolation, information, social support, feelings, stigma
Objavljeno v DKUM: 04.07.2024; Ogledov: 70; Prenosov: 10
.pdf Celotno besedilo (1,32 MB)
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CPR quality assessment in schoolchildren training
Katia M. G. Oliveira, Maria José C. Carmona, Antonio P. Mansur, Julio Y. Takada, Nino Fijačko, Federico Semeraro, Andrew Lockey, Bernd W. Böttiger, Naomi K. Nakagawa, 2022, izvirni znanstveni članek

Opis: Whilst CPR training is widely recommended, quality of performance is infrequently explored. We evaluated whether a checklist can be an adequate tool for chest compression quality assessment in schoolchildren, compared with a real-time software. This observational study (March 2019–2020) included 104 schoolchildren with no previous CPR training (11–17 years old, 66 girls, 84 primary schoolchildren, 20 high schoolchildren). Simultaneous evaluations of CPR quality were performed using an observational checklist and real-time software. High-quality CPR was determined as a combination of 70% correct maneuvers in compression rate (100–120/min), depth (5–6 cm), and complete release, using a real-time software and three positive performance in skills using a checklist. We adjusted a multivariate logistic regression model for age, sex, and BMI. We found moderate to high agreement percentages in quality of CPR performance (rate: 68.3%, depth: 79.8%, and complete release: 91.3%) between a checklist and real-time software. Only 38.5% of schoolchildren (~14 years-old, ~54.4 kg, and ~22.1 kg/m2) showed high-quality CPR. High-quality CPR was more often performed by older schoolchildren (OR = 1.43, 95%IC:1.09–1.86), and sex was not an independent factor (OR = 1.26, 95%IC:0.52–3.07). For high-quality CPR in schoolchildren, a checklist showed moderate to high agreement with real-time software. Better performance was associated with age regardless of sex and BMI.
Ključne besede: cardiopulmonary resuscitation, education, assessment, schoolchildren, basic life support
Objavljeno v DKUM: 28.06.2024; Ogledov: 93; Prenosov: 6
.pdf Celotno besedilo (292,78 KB)
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Depression, anxiety, stress, and coping mechanisms among parents of children with autism spectrum disorder
Ajda Demšar, Karin Bakračevič, 2023, izvirni znanstveni članek

Opis: The purpose of the present study was to determine the level of stress, anxiety, and depression among Slovenian parents of children with autism spectrum disorder and their coping mechanisms. The study included 42 parents of children with ASD who were enrolled at a specialised clinic for children with hearing and speech difficulties. We used the Depression Anxiety Stress Scales (DASS), the Coping Orientation to Problems Experienced (COPE) inventory, and a demographic questionnaire which included questions on satisfaction with life and social support received. The respondents reported no clinically elevated levels of stress, depression or anxiety. However, the mothers reported more stress and anxiety related symptoms then did the fathers. The results showed that coping strategies of positive reinterpretation and growth were positively correlated to higher perceived social support and greater satisfaction with life, and were negatively correlated with depression and anxiety. Perceived social support was highly negatively correlated with anxiety. Strategies of acceptance were used significantly more often by individuals with a higher level of education.
Ključne besede: anxiety, autism spectrum disorders, stress coping, parents, social support
Objavljeno v DKUM: 31.05.2024; Ogledov: 142; Prenosov: 5
.pdf Celotno besedilo (738,61 KB)
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School belongingness and family support as predictors of school bullying perpetration and victimization in adolescents : are relations the same for students with an immigrant background?
Katja Košir, Martina Zakšek, Ana Kozina, 2023, izvirni znanstveni članek

Opis: The aim of the study was to examine school belongingness and family support as predictors of bullying behavior and victimization, and the moderating role of students’ gender and immigrant background in a large representative sample of Slovenian adolescents (N = 1925; 42.50% male). The results indicated that school belongingness significantly predicted both bullying and victimization. Family support did not contribute to the incremental validity beyond school belongingness in predicting victimization. Gender was found to moderate the relationship between school belongingness and both bullying outcomes. The relationship between school belongingness and victimization was stronger for students with an immigrant background.
Ključne besede: bullying, victimization, school belongingness, family support, immigrant background, adolescents
Objavljeno v DKUM: 31.05.2024; Ogledov: 112; Prenosov: 5
.pdf Celotno besedilo (891,51 KB)
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Social reappraisal of emotions is linked with the social presence effect in the default mode network
Xiyao Xie, Teresa Bertram, Saša Zorjan, Marina Horvat, Christian Sorg, Satja Mulej Bratec, 2023, izvirni znanstveni članek

Opis: Introduction: Social reappraisal, during which one person deliberately tries to regulate another’s emotions, is a powerful cognitive form of social emotion regulation, crucial for both daily life and psychotherapy. The neural underpinnings of social reappraisal include activity in the default mode network (DMN), but it is unclear how social processes influence the DMN and thereby social reappraisal functioning. We tested whether the mere presence of a supportive social regulator had an effect on the DMN during rest, and whether this effect in the DMN was linked with social reappraisal-related neural activations and effectiveness during negative emotions. Methods: A two-part fMRI experiment was performed, with a psychotherapist as the social regulator, involving two resting state (social, non-social) and two task-related (social reappraisal, social no-reappraisal) conditions. Results: The psychotherapist’s presence enhanced intrinsic functional connectivity of the dorsal anterior cingulate (dACC) within the anterior medial DMN, with the effect positively related to participants’ trust in psychotherapists. Secondly, the social presence-induced change in the dACC was related with (a) the social reappraisal-related activation in the bilateral dorsomedial/dorsolateral prefrontal cortex and the right temporoparietal junction and (b) social reappraisal success, with the latter relationship moderated by trust in psychotherapists. Conclusion: Results demonstrate that a psychotherapist’s supportive presence can change anterior medial DMN’s intrinsic connectivity even in the absence of stimuli and that this DMN change during rest is linked with social reappraisal functioning during negative emotions. Data suggest that trust-dependent social presence effects on DMN states are relevant for social reappraisal—an idea important for daily-life and psychotherapy-related emotion regulation.
Ključne besede: social reappraisal, social support, social emotion regulation, social presence, default mode network, interpersonal trust, anterior cingulate
Objavljeno v DKUM: 18.04.2024; Ogledov: 320; Prenosov: 241
.pdf Celotno besedilo (3,54 MB)
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Small and medium-sized enterprises in the digital age : understanding characteristics and essential demands
Barbara Bradač Hojnik, Ivona Huđek, 2023, izvirni znanstveni članek

Opis: The article explores the implementation of digital technology in small and medium-sized Slovenian enterprises (SMEs), with a focus on understanding existing trends, obstacles, and necessary support measures during their digitalization progress. The surveyed companies mainly rely on conventional technologies like websites and teamwork platforms, emphasizing the significance of strong online communication and presence in the modern business world. The adoption of advanced technologies such as blockchain is limited due to the perceived complexity and relevance to specific sectors. This study uses variance analysis to identify potential differences in the digitalization challenges faced by companies of different sizes. The results indicate that small companies face different financial constraints and require more differentiated support mechanisms than their larger counterparts, with a particular focus on improving digital competencies among employees. Despite obtaining enhancements such as elevated operational standards and uninterrupted telecommuting via digitalization, companies still face challenges of differentiation and organizational culture change. The study emphasizes the importance of recognizing and addressing the different challenges and support needs of different-sized companies to promote comprehensive progress in digital transformation. Our findings provide important insights for policymakers, industry stakeholders, and SMEs to formulate comprehensive strategies and policies that effectively address the diverse needs and challenges of the digital transformation landscape.
Ključne besede: digital transformation, digital technology adoption, small and medium-sized enterprises (SMEs), digitalization challenges, digitalization support
Objavljeno v DKUM: 11.04.2024; Ogledov: 239; Prenosov: 10
.pdf Celotno besedilo (502,33 KB)
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Resident perceptions and responses to tourism : individual vs community level impacts
Tina Šegota, Tanja Mihalič, Richard R. Perdue, 2022, izvirni znanstveni članek

Opis: This paper reviews resident tourism attitude research through the lens of the individual- and community-level perceived impacts of and responses to tourism. It explores how perceived impacts of tourism and responses to tourism development have been conceptualised and measured in the existing resident attitudes models published between 1990 and 2020. Three categories of variables were identified and used: antecedent variables, tourism impact variables, and dependent variables. The latter three categories are used to discuss the research topic from the lenses of improvements in measurement instruments. Finally, the paper suggests rethinking the overall conceptualisation of residents’ perceptions of and reactions to tourism – it proposes future research directions to distinguish between individual-level and community-level effects and reactions.
Ključne besede: resident attitudes, support for tourism, tourism impact, personal benefit, host community, literature review
Objavljeno v DKUM: 18.01.2024; Ogledov: 252; Prenosov: 11
.pdf Celotno besedilo (2,21 MB)
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Women in Need The Nature of Social Support in an Online Community : The Nature of Social Support in an Online Community
Vanja Ida Erčulj, Tinkara Pavšič Mrevlje, 2023, izvirni znanstveni članek

Opis: Some women, especially victims of violence, seek support in online groups. The objective of this research was to investigate the nature of the social support women receive in such online communities. For this purpose, all the posts from a large online support community group for women in Slovenia, Women in Need, from 2002 to the end of 2020 were retrieved and analyzed manually as well as by using a text-mining approach. The results show that women in the investigated community mostly seek informational support, spend little time actively contributing to online discussions, and rarely become engaged members of supportive groups within the focal online space. Some recommendations on how to improve the functionality of online social support sites are provided.
Ključne besede: online support, social support, violence against women
Objavljeno v DKUM: 06.12.2023; Ogledov: 256; Prenosov: 21
.pdf Celotno besedilo (5,32 MB)
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Digital tools in behavior change support education in health and other students : a systematic review
Lucija Gosak, Gregor Štiglic, Leona Cilar Budler, Isa B. Félix, Katja Braam, Nino Fijačko, Mara Pereira Guerreiro, Mateja Lorber, 2022, pregledni znanstveni članek

Opis: Due to the increased prevalence of chronic diseases, behavior changes are integral to self-management. Healthcare and other professionals are expected to support these behavior changes, and therefore, undergraduate students should receive up-to-date and evidence-based training in this respect. Our work aims to review the outcomes of digital tools in behavior change support education. A secondary aim was to examine existing instruments to assess the effectiveness of these tools. A PIO (population/problem, intervention, outcome) research question led our literature search. The population was limited to students in nursing, sports sciences, and pharmacy; the interventions were limited to digital teaching tools; and the outcomes consisted of knowledge, motivation, and competencies. A systematic literature review was performed in the PubMed, CINAHL, MEDLINE, Web of Science, SAGE, Scopus, and Cochrane Library databases and by backward citation searching. We used PRISMA guidelines 2020 to depict the search process for relevant literature. Two authors evaluated included studies using the Mixed Methods Appraisal Tool (MMAT) independently. Using inclusion and exclusion criteria, we included 15 studies in the final analysis: six quantitative descriptive studies, two randomized studies, six mixed methods studies, and one qualitative study. According to the MMAT, all studies were suitable for further analysis in terms of quality. The studies resorted to various digital tools to improve students’ knowledge of behavior change techniques in individuals with chronic disease, leading to greater self-confidence, better cooperation, and practical experience and skills. The most common limitations that have been perceived for using these tools are time and space constraints.
Ključne besede: digital tools, didactics, noncommunicable diseases, chronic diseases, behavior change support education, health science
Objavljeno v DKUM: 28.09.2023; Ogledov: 317; Prenosov: 23
.pdf Celotno besedilo (460,18 KB)
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